Effect Of Different Pick-Up Techniques On The Retention & Patient Satisfaction Of Implant-Supported Mandibular Overdenture With Locator Attachment
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Objectives: The aim of this study was to compare the effect of Direct & Indirect pick-up techniques on The Retention & Patients' satisfaction of implant-supported mandibular overdenture with locator attachment. Materials & methods: For the outcome of this clinical research study, twenty fully edentulous patients received new mandibular and maxillary complete dentures prior to implant placement. Every patient was instructed to use the denture for two months. After two months; each patient received four implants in the mandible by the aid of a computer-guided surgical stent. After ensuring complete osseointegration of the implants; patients were randomly divided into two groups; First group ( of ten patients) had completed the procedures of fabricating Implantsupported overdenture with locator attachment using Direct pick-up technique ( chair-side technique), while Second group ( of ten patients) had completed the procedures of fabricating Implant-supported overdenture with locator attachment using Indirect pick-up technique ( Laboratory-assisted pick-up technique). Retention of the Implant-supported overdentures was measured Five times (at time of insertion, one month, three months, six months and one year respectively), utilizing A Digital Forcemeter device. In addition, patients' satisfaction was also measured utilizing a customized chart of question (A five-point scale). Results: For parametric data; Repeated measures Analysis of Variance (ANOVA) was used to study the changes by time, while for non-parametric data; Friedman's test was used to study the changes by time. Those studies revealed that: there was no significant changes in Retention as well as Patients' satisfaction scores between both groups throughout the whole study period. Conclusion: locator attachments are highly recommended to retain mandibular overdentures, as they exhibited high retention values with minimal loss of retention. In addition, Patients were completely satisfied with their implant-supported overdentures, whatever the pick-up technique utilized.
Authors and Affiliations
Mostafa Helmy Mostafa Ahmed
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